Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $208.93	Facility		$204.17	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $371.54	Professional		$169.82	$213.80	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $426.58	Facility		$398.11	$398.11	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $489.78	Professional		$234.42	$234.42	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $275.42	Professional		$208.93	$208.93	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $302.00 / $302.00	Facility		$186.21	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $302.00	Professional		$223.87	$223.87	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $562.34	Professional		$275.42	$398.11	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $389.05	Professional		$239.88	$263.03	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $295.12 / $562.34	Facility		$169.82	$295.12	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $257.04	Professional		$213.80	$229.09	$257.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $323.59 / $1,148.15	Facility		$213.80	$323.59	$1,148.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $1,148.15	Professional		$213.80	$323.59	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $288.40 / $524.81	Facility		$144.54	$288.40	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $295.12	Professional		$181.97	$194.98	$295.12